Doc Side Audiology, LLC

Primary specialty

AudiologistTaxonomy code 231H00000X

Legal business name

DOC SIDE AUDIOLOGY, LLC

Doing business as

Hearing Aids of Sarasota

Practice address

938 Cypress Village Blvd Ste B
Sun City Center, FL 33573-6835

Phone

(813) 588-6198

Fax

(813) 548-3949

NPI assigned

Feb 6, 2023

Last updated

Feb 6, 2023By the provider in NPPES

Organization subpart

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kelly Elizabeth BreeseNPI 1568843852

Title

Owner

Phone

(813) 588-6198

Specialties & licenses 1

Addresses

Other names 1

• Hearing Aids of Sarasota Doing business as

Part of

Doc Side Audiology

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kelly Elizabeth Breese, AU.D.

  • Audiologist
  • Sarasota, FL
  • NPI 1568843852
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1675641600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675641600000",
    "number": "1699471144",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "938 CYPRESS VILLAGE BLVD STE B",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736835",
            "telephone_number": "813-588-6198",
            "fax_number": "813-548-3949"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "938 CYPRESS VILLAGE BLVD STE B",
            "city": "SUN CITY CENTER",
            "state": "FL",
            "postal_code": "335736835",
            "telephone_number": "813-588-6198",
            "fax_number": "813-548-3949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOC SIDE AUDIOLOGY, LLC",
        "organizational_subpart": "YES",
        "enumeration_date": "2023-02-06",
        "last_updated": "2023-02-06",
        "certification_date": "2023-02-06",
        "status": "A",
        "authorized_official_last_name": "BREESE",
        "authorized_official_first_name": "KELLY",
        "authorized_official_middle_name": "ELIZABETH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-588-6198"
    },
    "taxonomies": [
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hearing Aids of Sarasota",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nicollette Dibenedetto, LMHC
• Lorenzo Dickens Jr., PHARM D.
• Maria Dillon, M.D.
• Rene E Disotuar Abad, MD
• Sara Jane Dobbs, LCSW
• Doctors Preferred Nurse Registry II LLC
• Amanda Dodge, APRN
• Dr. Ronald Latronica
• Walter Joseph Drugan Jr., MD
• Ruth Ducko, PHARMD, RPH

• Audiologist in Sun City Center, FL
• Providers in Sun City Center, FL by specialty
• Audiologist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.